1538347067 NPI number — THE HEALTH CARE AUTHORITY FOR BAPTIST HEALTH

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1538347067 NPI number — THE HEALTH CARE AUTHORITY FOR BAPTIST HEALTH

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
THE HEALTH CARE AUTHORITY FOR BAPTIST HEALTH
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1538347067
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/06/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 241145
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MONTGOMERY
Provider Business Mailing Address State Name:
AL
Provider Business Mailing Address Postal Code:
36124-1145
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
334-273-4520
Provider Business Mailing Address Fax Number:
334-273-4425

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2167 NORMANDIE DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MONTGOMERY
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
36111-2728
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
334-286-3444
Provider Business Practice Location Address Fax Number:
334-286-3450
Provider Enumeration Date:
02/06/2008

Additional Information

Authorized Official

Authorized Official Last Name:
BRUTON
Authorized Official First Name:
CHRISTINE
Authorized Official Middle Name:
E
Authorized Official Title or Position:
CHIEF FINANCIAL OFFICER
Authorized Official Telephone Number:
334-747-4425

Provider Taxonomy Codes

  • Taxonomy code: 261Q00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 529929310 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".




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